Treating Adolescents with CSA-Related PTSD

治疗患有 CSA 相关 PTSD 的青少年

• 批准号: 7104085
• 负责人: EDNA B FOA
• 金额: $ 43.35万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7104085
• 关键词: adolescence (12-20); behavioral /social science research tag; clinical research; clinical trials; cognition; cognitive behavior therapy; community mental health services; female; health services research tag; human subject; human therapy evaluation; mental health counseling; posttraumatic stress disorder; psychopathology; rape; sex abuse; women' s health

DESCRIPTION (provided by applicant): The disaster of September 11 and the constant threat of imminent terrorist activity have brought into the forefront the need to develop and test efficient interventions for trauma-related psychological disturbances such as PTSD. It is important to remember, however, that terror-attacks constitute only one type of trauma and in fact is much less relevant in the US than other types of trauma such as natural disasters, traffic accidents and assault. Notably, data from large-scale epidemiological studies of children, adolescents, and adults indicate a 10% lifetime prevalence of child sexual abuse (CSA). Moreover, 62% of rapes occur during childhood or adolescence. Given the high prevalence of CSA, a clear association between CSA, PTSD, substance abuse, and sexual re-victimization during adolescence, it is of paramount importance to develop efficient, effective, and readily disseminable treatments for adolescents who suffer PTSD and related emotional difficulties as a result of CSA or sexual assault. Presently, there are effective treatment for adults and for children who suffer from CSA and sexual assault related PTSD, but very little is known about how best to treat traumatized adolescents who suffer from PTSD and associated symptoms, including PTSD related to sexual assault. The proposed research aims to examine the efficacy of a cognitive behavioral treatment developed for PTSD in adolescents exposed to CSA and sexual assault. Most importantly, the treatment will be conducted by counselors at a community clinic that provides services to victims of sexual assault across the developmental spectrum. Primary aims are: 1) To compare the immediate outcome of two active treatments, Prolonged Exposure for Adolescents (PE-A) and supportive counseling (SC), in reducing PTSD symptom severity; and 2) To assess maintenance of PE-A treatment gains at follow-up. Secondary aims are: 1) To compare PE-A and SC's effects in reducing secondary psychopathology symptoms; 2) To examine the relationship between change in PTSD symptoms and change in distress-related cognitions and emotions. The proposed research falls squarely within the national health policy and priorities set by the NIH/NIMH Healthy People 2010 by: 1) providing efficacious mental health treatment that promotes the quality and years of healthy life of people suffering from PTSD symptoms; and 2) reducing the mental health access disparity by making specialty mental health resources more accessible to the community at large.

描述(申请人提供)：9·11灾难和迫在眉睫的恐怖主义活动的持续威胁使开发和测试针对创伤后应激障碍等与创伤相关的心理障碍的有效干预措施的必要性变得尤为重要。然而，重要的是要记住，恐怖袭击只构成一种类型的创伤，事实上，与自然灾害、交通事故和袭击等其他类型的创伤相比，恐怖袭击在美国的相关性要小得多。值得注意的是，来自对儿童、青少年和成人的大规模流行病学研究的数据表明，儿童性虐待(CSA)的终生流行率为10%。此外，62%的强奸案发生在儿童或青春期。鉴于CSA的高患病率，CSA、PTSD、药物滥用和青春期的性再次受害之间存在明显的联系，为因CSA或性侵犯而遭受PTSD和相关情绪困难的青少年开发有效、有效和易于传播的治疗方法至关重要。目前，对于患有CSA和与性侵犯相关的创伤后应激障碍的成人和儿童都有有效的治疗方法，但对于如何最好地治疗患有创伤后应激障碍和相关症状的青少年，包括与性侵犯相关的创伤后应激障碍，人们知之甚少。这项拟议的研究旨在检查针对暴露于环孢素A和性侵犯的青少年的创伤后应激障碍开发的认知行为治疗的有效性。最重要的是，治疗将由一家社区诊所的顾问进行，该诊所为不同发育阶段的性侵犯受害者提供服务。主要目标是：1)比较两种积极的治疗方法，青少年长期暴露(PE-A)和支持性咨询(SC)在降低创伤后应激障碍症状严重程度方面的即时效果；以及2)评估在随访时PE-A治疗成果的维持情况。第二个目标是：1)比较PE-A和SC在减少继发性精神病理症状方面的效果；2)考察创伤后应激障碍症状的变化与与痛苦相关的认知和情绪变化的关系。这项拟议的研究完全符合NIH/NIMH健康人群2010年制定的国家健康政策和优先事项：1)提供有效的精神健康治疗，提高创伤后应激障碍症状患者的健康生活质量和健康生活年限；2)通过使社区更容易获得专门的精神健康资源，减少精神健康获取的差距。